JAMES T BUTLER NP
NPI 1124007489
Nurse Practitioner in Auburn, NY

Q: What is James Butler's NPI number?

The NPI number for James Butler is 1124007489. It was assigned to this individual provider in the NPPES registry on January 13, 2006.

Q: What is James Butler's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for James Butler was last updated on October 13, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since January 13, 2006PECOS Enrolled

89.66/100

CMS Quality Rating

37 W GARDEN ST STE 105, AUBURN, NY 13021(315) 252-0000(315) 252-0070 Get Directions Write a Review

NPPES record last updated: October 13, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 13, 2022, Aug 3, 2018, Jul 19, 2017 (3 updates tracked since 2017).

On this page

About James T Butler Np NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JAMES T BUTLER NP (NPI 1124007489) is an individual nurse practitioner in Auburn, New York, licensed in New York (F333697-1) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS, is affiliated with Auburn Community Hospital, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1124007489

Entity TypeIndividualMale

Primary Taxonomy363L00000X

Provider Legal NameJAMES T BUTLERCredential: NP

Location Address37 W GARDEN ST STE 105Auburn, NY 13021-2663

Mailing Address5008 Brittonfield Pkwy, Suite 700East Syracuse, NY 13057-9248 · (315) 472-7504 · Fax (315) 479-8639

Phone(315) 252-0000

Fax(315) 252-0070

Sole ProprietorNo

Medical School CMSOtherGraduated 2002

Enumeration DateJanuary 13, 2006

Last NPPES UpdateOctober 13, 20223 updates tracked since enumeration

NPPES CertifiedOctober 6, 2022

✔ NPI 1124007489 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in NY · F333697-1

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

37 W GARDEN ST STE 105, Auburn, NY 13021

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Secondary Practice Locations 3

Location 15008 Brittonfield Pkwy, Suite 700East Syracuse, NY 13057 · Phone (315) 472-7504 · Fax (315) 479-8639

Location 2303 Grant AveAuburn, NY 13021-1407 · Phone (315) 258-7100

Location 3803 Genesee StSkaneateles, NY 13152 · Phone (315) 685-9355

Other Identifiers 1

Medicaid02364941NY

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

James T Butler Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2961305164

PECOS Enrollment IDI20040127000678

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

Medicare enrollment records show James Butler reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Auburn Community Hospital

0.5 mi

General Acute Care Hospital

17 LANSING ST
Auburn, NY 13021

Reassigned Medicare billing, New York enrollment
277 clinicians in this Medicare group

NPI 1093712911 (315) 255-7209

Auburn Memorial Medical Services, PC

0.5 mi

Orthopaedic Surgery

17 LANSING STREET, ATTN: C. MCLOUD
Auburn, NY 13021

Reassigned Medicare billing, New York enrollment
249 clinicians in this Medicare group

NPI 1194913749 (315) 567-0455

Delphi Healthcare PLLC

57 mi

Emergency Medicine

1160 CHILI AVE
Rochester, NY 14624

Reassigned Medicare billing, New York enrollment
203 clinicians in this Medicare group

NPI 1003075029 (585) 330-3374

Delphi Hospitalist Services LLC

57 mi

Hospitalist

1160 CHILI AVE STE 200
Rochester, NY 14624

Reassigned Medicare billing, New York enrollment
185 clinicians in this Medicare group

NPI 1922270420 (585) 500-4814

Omar Osman MD PLLC

577 mi

Physical Medicine & Rehabilitation

9400 MARION AVE
Morton Grove, IL 60053

Reassigned Medicare billing, New York enrollment
24 clinicians in this Medicare group

NPI 1508564220 (855) 611-8783

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 14

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309

A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.

205 services57 patients

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308

A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.

109 services41 patients

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308

108 services33 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

76 services75 patients

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309

74 services30 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

55 services54 patients

Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes 99305

An initial nursing facility visit per day is a service where a healthcare professional spends about 35 minutes assessing a patient's health status. This includes reviewing medical history, conducting a physical exam, and developing a care plan based on the patient's needs.

38 services27 patients

Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490

Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.

28 services19 patients

Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306

An initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.

26 services26 patients

Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306

23 services18 patients

Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes 99305

20 services20 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

14 services14 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

14 services14 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

11 services11 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Auburn Community Hospital

Acute Care Hospitals · Auburn, NY

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330235

Location17 Lansing StreetAuburn, NY 13021 · Cayuga County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 13021 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$84.93 typical visit price

range $54.87 – $166.88

Typical copayment $21.23 (range $13.71 – $41.72)

Most-billed visit code 99203

Established Patient

$97.08 typical visit price

range $17.54 – $136.14

Typical copayment $24.27 (range $4.38 – $34.03)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

89.66/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

76.49

Promoting Interoperability

Improvement Activities

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. NEELAM NEUPANE M.B.B.S.

Pediatrics

37 W GARDEN ST STE 105
AUBURN, NY 13021

Cayuga County (315) 252-6257

BLYTHE E FAWCETT PA

Physician Assistant (Medical)

37 W GARDEN ST STE 105
AUBURN, NY 13021

Cayuga County (315) 252-0000

MRS. CHELSEY PAYCOFF

Nurse Practitioner (Family)

37 W GARDEN ST STE 105
AUBURN, NY 13021

Cayuga County (315) 252-0000

SUJIT KUMAR SHRESTHA

Pediatrics

37 W GARDEN ST STE 105
AUBURN, NY 13021

Cayuga County (315) 253-6257

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is James Butler's NPI number?

The NPI number for James Butler is 1124007489. It was assigned to this individual provider in the NPPES registry on January 13, 2006.

Where is James Butler located?

James Butler practices at 37 W Garden St Ste 105, Auburn, NY 13021. The listed phone number is (315) 252-0000.

What is James Butler's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is James Butler enrolled in Medicare?

Yes. James Butler is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for James Butler's services?

According to the CMS Revalidation Reassignment List (October 2026 release), James Butler reassigns Medicare benefits to 5 organizations: Auburn Community Hospital (Auburn, NY), Auburn Memorial Medical Services, PC (Auburn, NY), Delphi Healthcare PLLC (Rochester, NY), Delphi Hospitalist Services LLC (Rochester, NY) and Omar Osman MD PLLC (Morton Grove, IL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for James Butler's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is James Butler affiliated with any hospitals?

According to CMS data, James Butler is affiliated with Auburn Community Hospital.

When was this NPI record last updated?

The NPPES record for James Butler was last updated on October 13, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.